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General NPI Number Information
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NPI Number | 1326432949
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Entity Type | Organization
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Legal Business Name | GEN OHKAWA DDS PLLC
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 33 ROUTE 32A
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City | SAUGERTIES
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State | NY
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Zip | 12477-3711
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Country | US
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Telephone | 518-678-3111
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Fax | 518-678-1137
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Provider Business Mailing Address
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Address Line | 33 ROUTE 32A
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City | SAUGERTIES
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State | NY
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Zip | 12477-3711
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Country | US
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Telephone | 518-678-3111
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Fax | 518-678-1137
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEN OHKAWA
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Credential | DDS
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Telephone | 917-721-6091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 054989
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License Number State | NY
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